家庭护理管理方案在学龄前儿童哮喘管理中的应用  

Study on effect of family nursing management program in preschoolers with asthma

作　　者：吴立云[1] 

机构地区：[1]天津医科大学第二医院,天津300211

出　　处：《天津护理》2015年第4期285-287,共3页Tianjin Journal of Nursing

摘　　要：目的:探讨家庭护理管理方案在学龄前儿童哮喘管理中的应用效果。方法:从住院治疗的哮喘患儿中随机抽取50例做为观察组,从同期住院的患儿中按照1:1的比例为观察组选择配对病例50例作为对照组。两组患儿均给予常规护理,观察组在此基础上给予家庭护理管理方案的干预,追踪随访1年,对干预效果进行评价。结果:随访1年后,观察组家长疾病知识考核得分高于对照组(P<0.05),观察组患儿的急性发作次数、急诊就医次数、住院次数均少于对照组,住院时间短于对照组;儿科生命质量问卷(PAQLQ)各维度得分及总分组均高于对照组,差异有统计学意义(P<0.05)。结论:家庭护理管理干预可有效降低哮喘发作频次,减轻患儿痛苦,改善预后提高患儿及家庭生活质量。Objective： To investigate the effect of family nursing management program applied to asthma preschoolers. Methods： 50 preschoolers with asthma were selected as observed group, and 50 cases matched with observation cases were selected as control group by the ratio of 1：1. The child patients of control group were treated with routine care, and the patients of observed group were added on home care management programs. We evaluated the effect of the intervention after a one-year follow-up. Results： 1 year later, the parents of observed group got higher scores in the knowledge test （P〈0.05）. The number of acute episode, ED visit, hospitalization of observed group were significantly less than control group, and the hospital stay was shorter than control group. The observed group got higher scores of in PAQLQ and each subscale group （P〈0.05）. Conclusion： Home care management program can effectively reduce asthma, relieve the suffering of children, improve the prognosis of children and improve the quality of family life.

关 键 词：家庭护理 学龄前儿童 哮喘 

分 类 号：R473.72[医药卫生—护理学]